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Large cell lymphocytoma

S C Duncan, H L Evans, R K Winkelmann

    Archives of Dermatology
    |October 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    This study identified a distinct histologic pattern in nine cutaneous lymphoproliferative disease cases. These benign lesions, initially misdiagnosed as lymphoma, showed unique lymphocyte patterns upon further evaluation.

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    Area of Science:

    • Dermatology
    • Hematopathology
    • Oncology

    Background:

    • Cutaneous lymphoproliferative diseases present diagnostic challenges.
    • Accurate diagnosis is crucial for appropriate patient management and prognosis.
    • Distinguishing benign from malignant conditions is paramount.

    Observation:

    • Nine cases of cutaneous lymphoproliferative disease with a specific histologic pattern were analyzed.
    • Lesions presented as red-to-violaceous, deep papules or nodules, single or clustered.
    • Histologic examination revealed nodular infiltrates of large, pleomorphic lymphocytes with frequent mitoses.

    Findings:

    • A distinct pattern characterized by dense clusters of small lymphocytes surrounding or infiltrating large cells was observed.
    • This pattern, termed large cell lymphocytoma, was not associated with progressive malignant lymphoma.

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  • Seven cases were initially misdiagnosed as lymphoma or reticulum cell sarcoma.
  • All patients demonstrated benign disease on long-term follow-up, with no evidence of malignant lymphoma.
  • Implications:

    • The findings suggest a specific benign entity that can mimic malignant lymphoma histologically.
    • Recognition of this distinct pattern is essential to avoid misdiagnosis and unnecessary aggressive treatment.
    • Multiple biopsies may be required to establish the correct diagnosis.
    • Long-term follow-up confirmed the benign nature of these cutaneous lymphoproliferative lesions.